Active NPI
Callan Aaron Martin, D.C.
- Chiropractor
- Overland Park, KS
National Provider Identifier
1033414099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0105414
- Practice address
- 9904 College Blvd
Overland Park, KS 66210 - Phone
- (913) 276-0508
- NPI assigned
- Jan 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556862 | VA | |
| Chiropractor | 111N00000X | 2011025065 | MO | |
| Chiropractor | 111N00000X | 0105414 | KS | Primary |
Addresses
Primary practice location
9904 College Blvd
Overland Park, KS 66210
Mailing address
PO Box 26202
Overland Park, KS 66225
Phone (913) 276-0508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9904 College Blvd
Overland Park, KS 66210-1756
Phone (913) 276-0508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0105414 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back on Track Chiropractic & Acupuncture LLC | Chiropractor | Current | Accepting new patients |
| Eastern Shore Chiropractic Clinic | Past | Accepting new patients |
Locations
9904 College Blvd
Overland Park, KS 66210
Phone (913) 276-0508
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Overland Park, KS
- NPI 1003469529
-
- Health Service Clinic/Center
- Belle Haven, VA
- NPI 1487952669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1033414099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26202",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66225",
"telephone_number": "913-276-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9904 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66210",
"telephone_number": "913-276-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CALLAN",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2024-04-30",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556862",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2011025065",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "0105414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.